| NPI | 1366405086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD SD-RN 023016) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-03587) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2019-05-20 |