NPI | 1629169040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10028853) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10028853) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2011-09-06 |