| NPI | 1891217154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9351152) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ARPN9351152) |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2021-04-20 |