| NPI | 1275788960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP000886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000886) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R222645-5) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2024-05-23 |