| NPI | 1770051708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: SC 22050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 3556) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-10-18 |