| NPI | 1528614773 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-134717) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 1-134717) | 
| Enumeration Date | 2019-08-14 | 
| Last Update Date | 2021-08-27 |