| NPI | 1609922327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 12568) |
| Additional Taxonomies | 163WG0100X Registered Nurse Gastroenterology (Licence: TN RN0000116000) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-09-13 |