| 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 |