| NPI | 1124524814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN236984) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA APRN236984) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA 236984) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2020-04-10 |