| NPI | 1124476221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL APRN9286847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9286847) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2022-04-01 |