| NPI | 1073089561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN249752) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN249752) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-04-01 |