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 |