| NPI | 1093591315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003003) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A176037) |
| 363L00000X Nurse Practitioner (Licence: NE 115028) | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-06-04 |