| NPI | 1013432475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017014611) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2019-10-31 |