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 |