| NPI | 1184312290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6995905-4404) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: UT 6995905-3102) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-08-29 |