| NPI | 1891355715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2333574) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: DC RN1019272) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-09-25 |