| NPI | 1790423671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R045908) |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2024-02-08 |