| NPI | 1346646833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SD CP000910) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: SD CP000910) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2021-07-08 |