| NPI | 1720645344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NY F308619-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA NP95011319) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-04-21 |