| NPI | 1528072055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP1700X Nurse Practitioner Perinatal (Licence: DE APN-0001492) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA UP003990T) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-07-14 |