| NPI | 1568126118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN230248) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ZZ RN230248) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN230248) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN230248) | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2023-11-06 |