| NPI | 1164132841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11020988) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL APRN11020988) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-11-08 |