| NPI | 1558815019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 338745) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9445581) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338745) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2023-02-20 |