| NPI | 1437503281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001211) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R43719) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8689) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-07-21 |