NPI | 1811052772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10015870) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: DE L10015870) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2011-09-22 |