| NPI | 1013308311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN183351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9414902) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2022-07-21 |