| NPI | 1144202383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9483357) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: DC 3268080889) |
| 363LF0000X Nurse Practitioner Family (Licence: MD R115117) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-07-22 |