| NPI | 1215889282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA NP324279) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: GA APRN-NP324279) |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-04-29 |