| NPI | 1508204272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD PMH06260129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000774) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2026-07-23 |