| NPI | 1053551747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE APN0001627) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD R177137) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2018-04-07 |