| NPI | 1336797018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A167411) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: IA 130143) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-02-09 |