| NPI | 1508370016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: SD R045661) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP003152) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2024-09-06 |