| NPI | 1073712238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009452) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA SP009452) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2014-05-28 |