| NPI | 1245770817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 22350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22350) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-07-21 |