| NPI | 1790250363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN281166) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD AC003662) |
| 207L00000X Anesthesiology (Licence: MD R199594) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2023-12-07 |