| NPI | 1730600974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017018174) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017018174) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-01 |