| NPI | 1821762337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN258659) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN258659) |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2024-01-24 |