| NPI | 1669840971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN162164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN162164) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2025-02-17 |