| NPI | 1154745529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23746) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: CA 23746) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |