| NPI | 1891213708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ND R53093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993357-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 29567.1593) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-01-23 |