| NPI | 1881400562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TN 37625) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 37625) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-08-21 |