| NPI | 1194585307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2260648) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA RN2260648) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-08-28 |