| NPI | 1548938491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11015236) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA GAA-NP003647) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-06-09 |