| NPI | 1811197874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID NP800A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP 800) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-10-31 |