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 |