| NPI | 1760992150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN208631) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: GA RN208631) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2023-03-16 |