| 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 |