| NPI | 1871979229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R47017) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC F07151248) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2019-01-02 |