| NPI | 1740925973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A168015) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2026-02-11 |