| NPI | 1376175935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC APN.29536) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA GAA-NP000434) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-12-23 |