| NPI | 1194097691 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01094676A) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.171911) | 
| 207P00000X Emergency Medicine (Licence: WI 85139-20) | |
| 363L00000X Nurse Practitioner (Licence: TX AP121411) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 717881) | |
| Enumeration Date | 2012-01-31 | 
| Last Update Date | 2025-08-19 |