| NPI | 1477094498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: ID 73856) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA NCO-000006) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2023-11-08 |