| NPI | 1932508710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9643056-4405) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SD SD-RN R040316) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2021-04-28 |