| NPI | 1720679640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-150700) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: AL 1150700) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-04-05 |