| 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 |