| NPI | 1972507739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704147728) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: MI 4704147728) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-07-21 |