| NPI | 1912761792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11030245) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL APRN11030245) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-05-05 |