| NPI | 1194488395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002178) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD CP002178) |
| 207X00000X Orthopaedic Surgery (Licence: SD CP002178) | |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2022-03-31 |