NPI | 1659864098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: SC 21458) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21458) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2024-04-04 |