| NPI | 1306481114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 256399) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NC 256399) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: NC 256399) | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |