| NPI | 1619777612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11039266) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: FL RN9491714) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-06-06 |