| NPI | 1093545121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A182485) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-01-31 |