| NPI | 1124647250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN235040) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN235040) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2023-04-05 |