| NPI | 1679059091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8375) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 8375-33) |
| 363LF0000X Nurse Practitioner Family (Licence: WI 8375-33) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-04-05 |