| NPI | 1447209317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN138969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F382198) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2021-01-25 |