| NPI | 1538247796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LM0000120) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA VP004178J) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: DE L10025391) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10025391) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2015-10-09 |