| NPI | 1821048018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704280593) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0024165531) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-12-09 |