| NPI | 1518018126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R858744) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS R858744) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2015-12-21 |