| NPI | 1114383262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002011) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: SD Sd-RN R038292) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2023-06-06 |