| NPI | 1316339138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA F0215021) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: GA RN199543) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2021-12-16 |