| NPI | 1316621253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024187511) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: VA 0001266087) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-07-10 |