| NPI | 1508783812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA APRN-NP711423) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: GA APRN-NP711423) |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-06-30 |