| NPI | 1871042622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001135) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: SD R039093) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-11-19 |