| NPI | 1316643000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 3018537) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 3018537) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3018537) | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-06-25 |