| NPI | 1417379538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA APRN-NP228738) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN228738) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: GA APRN-CNS228738) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2025-10-31 |