| NPI | 1477699064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: GA RN163089NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN163089NP) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-06-01 |