NPI | 1497564538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 230436) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: AR 230436) |
Enumeration Date | 2025-01-03 |
Last Update Date | 2025-02-14 |