| NPI | 1881733749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024165235) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: VA 0001042666) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-03-06 |