| NPI | 1801299391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R036935) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2017-09-26 |