NPI | 1316344211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000307) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP014493) |
Enumeration Date | 2014-11-21 |
Last Update Date | 2015-09-24 |