| NPI | 1811643216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9241581) |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: FL APRN11018611) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-05-26 |