| NPI | 1154954543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: GA RN286609) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: GA RN286609) |
| 163W00000X Registered Nurse (Licence: GA RN286609) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2024-05-17 |