| NPI | 1982301057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN286497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN286497) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-11-05 |