| NPI | 1932442993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: DE L1-0041139) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA SP012604) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: DE LJ-0000304) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2015-11-03 |