| NPI | 1932290491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD RO17512) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-01-03 |