NPI | 1336296417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0000235) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: DE LJ-0000127) |
363LP0200X Nurse Practitioner Pediatrics (Licence: MD R072822) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2007-07-08 |