| NPI | 1023797750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD CP003082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R046334) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-02-03 |