| NPI | 1134557671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC001744) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD AC001744) |
| 363L00000X Nurse Practitioner (Licence: DC RN1049834) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2020-04-13 |