| NPI | 1356326151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166250) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC RN1006178) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2017-08-09 |