| NPI | 1558443515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000756) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201501683np-pp) |
| 363LF0000X Nurse Practitioner, Family (Licence: SD R042100) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-07-17 |