| NPI | 1710437710 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 34116) | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 341168) | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004890) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95004890) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-10-13 | 
| Last Update Date | 2024-06-28 |