| NPI | 1881946374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN250156) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC001077) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R207282) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN960827) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024164874) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2021-01-28 |