NPI | 1871684142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10031933) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9447495) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: DE L10031933) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2018-03-17 |