| NPI | 1700449220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: LA 200771) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 200771) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-09-01 |