| NPI | 1124179809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ0000213) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: DE LJ0000213) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: DE LJ0000213) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000213) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-01-31 |