| NPI | 1033755095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 8637) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CT 8637) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2021-11-11 |