| NPI | 1568533248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 804367) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS R804367) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-12-09 |