| NPI | 1265032544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A161810) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114194) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2023-01-16 |