| NPI | 1083881577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN182668NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 195479) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2012-07-31 |