| NPI | 1194021378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NE 111208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 111208) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NE 111208) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 111208) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2022-08-11 |