| NPI | 1184350076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002485) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A170111) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114356) | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-08-04 |