| NPI | 1881837946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000903) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 103330) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SD CP000903) | |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2022-02-18 |