| NPI | 1336652130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP134898) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: TX AP134898) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |