NPI | 1598073470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168989) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024168989) |
207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0024168989) | |
Enumeration Date | 2010-09-14 |
Last Update Date | 2023-11-09 |