NPI | 1164850780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5559) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WI 5559-33) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2024-01-18 |