| NPI | 1225118334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024164188) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0024134188) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-10-01 |