| NPI | 1023793031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD CP002840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002840) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-09-07 |