| NPI | 1255403457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WY 23711.0837) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: WY 23711.0837) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-02-07 |