| 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 |