| NPI | 1720030299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0024164491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 004368) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-08-17 |