| NPI | 1922502558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1062269) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 95098269) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2021-04-28 |