| NPI | 1013997659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704211850) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MI 4704211850) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-11-27 |