| NPI | 1336233121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP01224) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM R49381) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-01-13 |