NPI | 1508847492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L1-0024716) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP004148N) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2019-10-09 |