NPI | 1972318186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: AZ 319982) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 319982) |
Enumeration Date | 2025-02-13 |
Last Update Date | 2025-08-15 |