| NPI | 1700390697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003537) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SD r041425) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2025-02-20 |