NPI | 1811578289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN279020) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN279020) |
Enumeration Date | 2021-04-17 |
Last Update Date | 2022-09-29 |