NPI | 1487304283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN324990) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN324990) |
Enumeration Date | 2022-03-24 |
Last Update Date | 2023-11-29 |