| NPI | 1821564451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD CP001478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001478) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: SD CP001478) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-02-05 |