| NPI | 1194719500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 67856-2) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: FL 67856-2) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2014-06-17 |