| NPI | 1568538528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 225-249-4405) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: UT 225-249-4405) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-09-17 |