| NPI | 1689307472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ-0010409) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010409) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP025238) | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |