| NPI | 1508546086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 14542) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: WI 190780-30) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-09-21 |