| NPI | 1992265904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 28209999A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28209999A) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-06-11 |