| NPI | 1942019997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010508) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP031640) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP031643) | |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-07-17 |