| NPI | 1588095038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD SD-CNP CP000830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R 0057542) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2019-11-26 |