| NPI | 1134551880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003105) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111559) |
| 363L00000X Nurse Practitioner (Licence: NE 111559) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA H177489) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-11-03 |