| NPI | 1336673003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9218363) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 9218363) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-08-15 |