| NPI | 1194345264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN262222) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: GA RN262222) |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2022-06-18 |