| NPI | 1952344699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP000250) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD R0148350250) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SD R0148350250) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-12-05 |