NPI | 1609967967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10030453) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10030453) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2008-05-02 |