| NPI | 1982817433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP004049B) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-11-13 |