| NPI | 1205389897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP00186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001086) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2019-07-11 |