NPI | 1417175670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000122) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ-0000122) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2024-10-18 |