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 |