| NPI | 1245488303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704191790) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4704191790) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-12-24 |