| NPI | 1952926008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN241545) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: GA RN241545) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |