| NPI | 1821264565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL APRN9473715) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9473715) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 130810) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2019-04-26 |