| NPI | 1396837944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD R028289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP0000308) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |