| NPI | 1326214982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R034054) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2015-04-28 |