| NPI | 1821850447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN28247RX) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 28247) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: SC APN28247RX) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-01-13 |