| NPI | 1881138592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN261681) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN261681) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2024-01-30 |