| NPI | 1801528252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002439) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R53146) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: SD CP002439) | |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2022-12-08 |