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 |