NPI | 1497531420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 11023918) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023918) |
Enumeration Date | 2023-09-06 |
Last Update Date | 2025-07-15 |