| NPI | 1275634891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100271) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT RN19923) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-01-17 |