| NPI | 1356433197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ0000199) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: DE LJ0000199) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: DE LJ0000199) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000199) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-09-10 |