| NPI | 1316315864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: PA SP015169) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015169) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2021-04-09 |