| NPI | 1912158429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: DE L1-0040338) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP008698) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2020-04-21 |