| NPI | 1710597927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN259405) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN259405) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-09-09 |