| NPI | 1336815935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP002071) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 12808) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-11-12 |