| NPI | 1992804025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP006580B) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-03-06 |