| NPI | 1639639610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020155) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA SP020155) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-04-05 |