NPI | 1740563246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: AZ 274807) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009069) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2022-10-12 |