| NPI | 1174305742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11025870) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN25870) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-04-15 |