| NPI | 1972995371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SD CP000881) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SD CP000881) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 3893) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-09-28 |