| NPI | 1124028980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP007297) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA SP007297) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2025-09-15 |