| NPI | 1073255121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 5016043) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016043) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016043) | |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2022-04-09 |