| NPI | 1952467219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN146346) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA NPI146346) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-11-28 |