| NPI | 1902649775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SD CP003244) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP003244) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: SD CP003244) | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-06-23 |