| NPI | 1982860516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: SC 20044) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 2921) |
| 363LC1500X Nurse Practitioner Community Health (Licence: CA 15207) | |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: CA 15027) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-09-18 |