| NPI | 1902311772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NE 2023) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 2023) |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2018-03-17 |