| NPI | 1255587671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024168055) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: VA 0001191454) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2015-08-19 |