| NPI | 1790791523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: PA SP008280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008280) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-11-05 |