| NPI | 1619638301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1065197) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1065197) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-03-02 |