| NPI | 1780309195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704255364) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: MI 4704255364) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |