| NPI | 1477270163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 34030) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA NCO-000006) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN286984) | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-02-26 |