| NPI | 1184168007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001175) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001175) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: SD CP001175) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-07-21 |