| NPI | 1346881034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 96252) |
| 208M00000X Hospitalist (Licence: SC 23373) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-04-05 |