| NPI | 1073028593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001318) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SD CP001318) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2020-01-24 |