| NPI | 1720613243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 3-001326) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN222762) |
| 163W00000X Registered Nurse (Licence: AL 1-158365) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA 222762) | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2024-09-06 |