| NPI | 1982452686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003290) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 115508) |
| 163W00000X Registered Nurse (Licence: SD R052692) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A180301) | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-09-06 |