| NPI | 1043869738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner Occupational Health (Licence: ID 2271947) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95011932) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2025-07-08 |