| NPI | 1952883936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R41070) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R41070) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: ND R41070) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-09-09 |