| NPI | 1902468424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001598) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SD CP001598) |
| 207Q00000X Family Medicine (Licence: SD CP001598) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SD CP001598) | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2022-10-28 |