| NPI | 1568126118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA APRN-NP230248) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: 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 | 2025-10-30 |