| NPI | 1285215525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A163192) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: IA 141096) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-12-01 |