| NPI | 1962472613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN155231) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: GA RN155231) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2022-11-29 |