| NPI | 1932535895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN180071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11008309) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2023-05-23 |