| NPI | 1528594314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA rn210142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA rn210142) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-07-18 |