| NPI | 1992457147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE LG-0011888) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0048126) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-02-07 |