| NPI | 1417045295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R24536) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ND R24536) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |