| NPI | 1629834585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 12291) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 12291) | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-04-08 |