| NPI | 1457013674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 114205) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A165497) | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-03-30 |