| NPI | 1376133033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN 27035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 27035) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-08-17 |