| NPI | 1144568767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ND R39620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013001306) |
| 363L00000X Nurse Practitioner (Licence: ND R39620) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2024-10-02 |