| NPI | 1366297178 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CT 13261) | 
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CT 2024000329) | 
| Enumeration Date | 2024-04-23 | 
| Last Update Date | 2024-07-19 |