| NPI | 1558852558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA RN290796) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN290796) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 290017440) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2025-07-21 |