| NPI | 1750734356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA AP08798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP08798) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-02-05 |