NPI | 1487046983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN119355) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA RN119355) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5008399) | |
Enumeration Date | 2015-02-21 |
Last Update Date | 2025-07-24 |