| NPI | 1770296733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 85714) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A173338) | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-03-13 |