| NPI | 1568978583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD CP001325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SD CO001325) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2018-05-10 |