| NPI | 1366875908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5411-33) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 147601-30) |
| 363L00000X Nurse Practitioner (Licence: WI 147601-030) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2015-04-09 |