| NPI | 1669106332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024184971) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: VA 0001288819) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2022-08-30 |