| NPI | 1477197036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 62697) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID 62697) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-12-03 |