| NPI | 1568050862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001961) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SD R042462) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-04-05 |