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 |