| NPI | 1548541824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000291) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 100046) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2025-09-09 |