| 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 |