| NPI | 1386088458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 20292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9170031) |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: SC 20292) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2020-12-17 |