| NPI | 1053377572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN027421) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: AZ RN-027421) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2015-07-17 |