| NPI | 1255423125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10032788) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10032788) |
| 363L00000X Nurse Practitioner (Licence: PA RN587538) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA RN587538) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-09-26 |