NPI | 1598146581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9355757) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL APRN9355757) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2023-09-11 |