| NPI | 1093807836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10010636/LJ0000200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10010636) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10010636) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DE L10010636) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-02-09 |