| NPI | 1205912946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS R784836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R784836) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-01-07 |