| NPI | 1265260541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R167346) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-08-23 |