NPI | 1346344520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000383) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R114594) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2024-02-13 |