| NPI | 1861421679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R102784) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: MD NP102784) |
| 363L00000X Nurse Practitioner (Licence: AZ AP7523) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-08-14 |