| NPI | 1376124545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN243199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN243199) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-12-05 |