| NPI | 1891009973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD R033763) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2014-03-20 |