NPI | 1821189234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: DE LM-0000124) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LM-0000124) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000174) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2022-03-10 |