| 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 |