| NPI | 1457290140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 289762-4405) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 289762-4405) |
| Enumeration Date | 2026-03-26 |
| Last Update Date | 2026-04-21 |