| NPI | 1841936077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A167341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A167341) |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: IA A167341) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-02-21 |