| NPI | 1760716195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: PA SP024054) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5004521) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2023-01-26 |