NPI | 1700063781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10040420APN000161) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA UP003039D) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2012-09-18 |