| NPI | 1972540326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 900311) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 138011) |
| 363L00000X Nurse Practitioner (Licence: SC 4067) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-02-21 |