| NPI | 1316517980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011695) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD R229733) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-07-28 |