NPI | 1376703405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 13252) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 13252APNFNP) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2013-09-27 |