| NPI | 1912676149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002201) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SD R047682) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-05-26 |