| NPI | 1629737515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1059105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1059105) |
| 208M00000X Hospitalist (Licence: TX 1059105) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-01-25 |