NPI | 1093224628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000327) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE LJ-0000327) |
Enumeration Date | 2017-09-27 |
Last Update Date | 2025-07-05 |