| NPI | 1194097691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01094676A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 717881) |
| 207P00000X Emergency Medicine (Licence: IL 036.171911) | |
| 363L00000X Nurse Practitioner (Licence: TX AP121411) | |
| 207P00000X Emergency Medicine (Licence: WI 85139-20) | |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2026-07-07 |