| NPI | 1427473164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP003158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R041929) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2024-04-30 |