| NPI | 1376096024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ AP8713) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP8713) |
| 207Q00000X Family Medicine (Licence: AZ AP8713) | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2021-10-29 |