| NPI | 1598011520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN217169) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN217169) |
| 163W00000X Registered Nurse (Licence: GA RN217169) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2022-01-19 |