| NPI | 1831240514 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10030850) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10030850) | 
| Enumeration Date | 2007-01-16 | 
| Last Update Date | 2011-09-09 |