| NPI | 1194330175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009158) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009158) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 11009158) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2026-08-21 |