| NPI | 1467000604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5012318) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 5012318) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-11-18 |