| NPI | 1114678976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 222275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 222275) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-06-28 |