| NPI | 1881647774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD R028675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CNP 0411) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-04-18 |