| NPI | 1992354443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN213158NP) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN213158) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2023-01-18 |