| NPI | 1942699863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007418) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 5007418) |
| 363L00000X Nurse Practitioner (Licence: NC 5007418) | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2023-12-19 |