| NPI | 1417560640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020027489) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MO 2020027489) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2022-02-08 |