| NPI | 1669875712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ARNP9217893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9217893) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2018-03-17 |