| NPI | 1558885160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA AP09462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09462) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2025-01-16 |