| NPI | 1083977417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR 201250066NP) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OR 201250066NP) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 2012500066NP) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-11-04 |