| NPI | 1245713361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001440) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD CP001440) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2025-11-03 |