| NPI | 1265707889 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AL 1-119324) | 
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: AL 1119324) | 
| Enumeration Date | 2012-03-14 | 
| Last Update Date | 2016-06-17 |