| NPI | 1679944615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003162) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95003162) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: NV 866352) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2023-09-13 |