| NPI | 1972209245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN113925) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN113925) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |