| NPI | 1770024671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 315587) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9171820) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9171820) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2023-09-27 |