| NPI | 1942219654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: CT 001587) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 001587) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-02-10 |