| NPI | 1285304410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN313236) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 28249373A) |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2022-08-29 |