| NPI | 1144905399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA F06230491) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114985) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A176002) | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-09-06 |