| NPI | 1740781053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9230764) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ARNP9230764) |
| 163W00000X Registered Nurse (Licence: FL RN9230764) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2023-02-02 |