| NPI | 1285877043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R117114) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN60240) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: MD R117114) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |