| NPI | 1205242278 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX AP125960) | 
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP125960) | 
| Enumeration Date | 2014-07-10 | 
| Last Update Date | 2025-10-21 |