| NPI | 1275094385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8156) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: CT 10.098126) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-05-09 |