| NPI | 1457999385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 11003593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11003593) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2020-04-06 |