| NPI | 1760992317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9308693) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ARNP9308693) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-11 |