| NPI | 1386838779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0001275351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-003160) |
| 363L00000X Nurse Practitioner (Licence: VA 0001275351) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2017-11-07 |