| NPI | 1922230184 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10000251) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009962) | 
| 363L00000X Nurse Practitioner (Licence: DE L10037897) | |
| 363L00000X Nurse Practitioner (Licence: PA RN533314) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE LJ0000251) | |
| Enumeration Date | 2009-08-20 | 
| Last Update Date | 2025-10-29 |