| NPI | 1245899616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011847) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 5011847) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-08-20 |