| NPI | 1922230184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10000251) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10037897) |
| 363L00000X Nurse Practitioner (Licence: PA SP009962) | |
| 363L00000X Nurse Practitioner (Licence: PA RN533314) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE LJ0000251) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2011-09-03 |