| NPI | 1992144588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000646) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: PA SP027279) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP027279) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2023-04-04 |