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 |