| NPI | 1679954150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA GAA-NP000869) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127544) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2024-07-24 |