| NPI | 1629669452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN180777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN180777) |
| 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: GA RN180777) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-09-18 |