| NPI | 1124769617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11019064) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: FL aprn11019064) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-05-08 |