| NPI | 1295329274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA 218401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 218401) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2023-07-06 |