| NPI | 1518382043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN191439) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: SC 18680) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP127143) | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2021-07-09 |