| NPI | 1851506976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 11720) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: TN 2005002820-21) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2024-06-17 |