NPI | 1790143188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10000302) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10039589) |
Enumeration Date | 2016-02-01 |
Last Update Date | 2019-12-30 |