| NPI | 1467274894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034909) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 11034909) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-01-17 |