| NPI | 1942923339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R049217) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A171889) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114532) | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-01-05 |