| NPI | 1942859285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL APRN11003841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003841) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003841) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-02-19 |