| NPI | 1689914798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95001675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN966643) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2019-08-07 |