| NPI | 1538940911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA APRN-NP183558) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN183558) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2025-11-19 |