| NPI | 1174955538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WI 5375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5375) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2020-02-06 |