| NPI | 1245745017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8184725-4405) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: UT 8184725-3102) |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2019-12-30 |