| NPI | 1710458294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010599) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 95010599) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2023-11-07 |