| NPI | 1720608417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD CP001751) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2022-11-08 |