| NPI | 1326557778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R054275) |
| 163W00000X Registered Nurse (Licence: PA RN615417) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP001971) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP018047) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-08-24 |