| NPI | 1487706081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R18575) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ND R18575) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-04-18 |