| NPI | 1497564538 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 230436) | 
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: AR 230436) | 
| Enumeration Date | 2025-01-03 | 
| Last Update Date | 2025-02-14 |