| NPI | 1932774031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R046684) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-06-01 |