| NPI | 1386065910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE LJ-0000310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L1-0041332) |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2017-04-25 |