| NPI | 1811949266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001708) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001708) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP127468) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R-194623-1) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-10-13 |