| NPI | 1811313299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 363LP0200X) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN218052) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN218052) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2016-12-06 |