NPI | 1407097819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LJ-0000230) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA sp007751) |
Enumeration Date | 2009-03-13 |
Last Update Date | 2021-04-27 |