| NPI | 1033521133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 290107) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 290107) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN237918) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-10-12 |