| NPI | 1437327343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SD CP001777) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001777) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 600117) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2023-04-27 |