| NPI | 1952906737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001900) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: SD CP001900) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2021-04-08 |