| NPI | 1326598046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001136) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001136) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-11-04 |