| NPI | 1912775628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SD CP003043) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP003043) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-12-26 |