| NPI | 1881202950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 113197) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A187496) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2025-10-14 |