NPI | 1982009346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010428) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430880) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2023-06-16 |