| NPI | 1366796849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9278875) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ARNP9278875) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2018-02-06 |