| 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 |