| NPI | 1972875557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 209836) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 5005460) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2018-05-30 |