| NPI | 1750691655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA SP008669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008669) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2021-04-05 |