| NPI | 1306281605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN324527) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209010401) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP6153977) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2025-07-30 |