| NPI | 1497647721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP003724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD CP003724) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-09-22 |