| NPI | 1427549799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9182366) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 9182366) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-07-10 |