| NPI | 1710617261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 280594) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: AZ RN174369) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-09-15 |