| NPI | 1710435243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 238527-3) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2023-09-01 |