| NPI | 1124913223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1972904) |
| 163W00000X Registered Nurse (Licence: SD R060447) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 12986) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-07-02 |