| NPI | 1881330728 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018578) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 11018578) | 
| 208M00000X Hospitalist (Licence: FL RN9368237) | |
| Enumeration Date | 2022-05-12 | 
| Last Update Date | 2025-04-15 |