| NPI | 1306485172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R036298) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-03-04 |