| NPI | 1912067489 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: AZ AP4480)  | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MT RN23513)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9330687)  | |
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2025-01-15 |