| NPI | 1114019080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ0000215) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000215) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DE L10031948) | |
| 363L00000X Nurse Practitioner (Licence: DE L10031948) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10031948) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DE LJ0000215) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-02-10 |