| NPI | 1467547539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: KY 1033972) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 2886P) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |