| NPI | 1982143889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R039179) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2026-03-20 |