| NPI | 1376210179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 341689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002132) |
| 163WE0003X Registered Nurse, Emergency (Licence: SD R051964) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2026-07-08 |