| NPI | 1023531043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9311879) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ARNP9311879) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-10-13 |