| NPI | 1629666458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11010118) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN11010118) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-13 |