NPI | 1114799525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 071960-23) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 071960-23) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2023-11-27 |