| NPI | 1467225458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP003054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R050518) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2024-01-17 |