| NPI | 1588271001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN281173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704381197) |
| 163W00000X Registered Nurse (Licence: GA RN281173) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704381197) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-11-22 |