| NPI | 1992525398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 14210652-4405) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2025-10-15 |