| NPI | 1831060664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: TX 961672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1228856) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2026-03-09 |