NPI | 1023654845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP003304) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: SD CM000110) |
Enumeration Date | 2019-11-27 |
Last Update Date | 2024-09-21 |