| NPI | 1447773163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0045345) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-03-17 |