| NPI | 1538200530 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: AZ AP4594)  | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001475A)  | 
| Enumeration Date | 2007-02-11 | 
| Last Update Date | 2014-10-24 |