| NPI | 1417256736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID np1045a) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1045A) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-10-31 |