| NPI | 1942894183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN302421) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11011883) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-03-14 |