| NPI | 1346706348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179331) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: CA 752563) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95011501) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2020-09-23 |