| NPI | 1194127423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 153070) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: GA 153070) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |