NPI | 1790516219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003325) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SD CP003325) |
Enumeration Date | 2024-08-08 |
Last Update Date | 2024-10-29 |