| NPI | 1215199906 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L1-0033768) | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: DE LM-0000138) | 
| Enumeration Date | 2008-06-25 | 
| Last Update Date | 2017-04-14 |