| NPI | 1669237376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A178281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003526) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-02-24 |