NPI | 1750770251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10044555) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10044555) |
Enumeration Date | 2015-01-21 |
Last Update Date | 2015-11-20 |