| NPI | 1033702923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN287822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN287822) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-04-14 |