NPI | 1366100968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN307439) |
Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: GA RN307439) |
Enumeration Date | 2021-12-01 |
Last Update Date | 2021-12-01 |