| NPI | 1164543658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 271212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260962) |
| 363L00000X Nurse Practitioner (Licence: MA 256196) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-12-09 |