NPI | 1699865337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ0000130) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000130) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-09-03 |