| NPI | 1720946478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 819027) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 819027) |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-04-15 |