| NPI | 1053331082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN APN11727) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 11727) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-03-26 |