| NPI | 1033306493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010394) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP009519) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2021-06-28 |