| NPI | 1780932111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN183389) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA C158599) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C158599) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C158599) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 818700) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2022-08-16 |