NPI | 1770019754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LJ-0010500) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA AP09188) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-06-18 |