| NPI | 1952933285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN267699) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN267699) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2023-07-20 |