| NPI | 1124436944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA 274128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 670896-1) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9315157) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2018-03-17 |