| NPI | 1811549934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001599) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD CP001599) |
| 207Q00000X Family Medicine (Licence: SD CP001599) | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-09-10 |