| NPI | 1740991389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA SP023866) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023866) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-09-22 |