| NPI | 1205545100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ID 76581) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ND R40251) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-08-24 |