| NPI | 1881238285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 208444) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 208444) |
| 363L00000X Nurse Practitioner (Licence: LA 208444) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-03-13 |