| NPI | 1912504309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL APRN11009582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009582) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2026-04-16 |