NPI | 1770024671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9171820) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9171820) |
208M00000X Hospitalist (Licence: GA 315587) | |
Enumeration Date | 2017-03-13 |
Last Update Date | 2025-08-14 |