| NPI | 1457775819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2022037507) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN150105) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2021019303) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2024-08-01 |