| NPI | 1437306321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704244170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4704244170) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2009-06-09 |