| NPI | 1578601282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201603073NP-PP) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID NP784A) |
| 363L00000X Nurse Practitioner (Licence: ID NP-784A) | |
| 363L00000X Nurse Practitioner (Licence: ID NP784A) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-10-01 |