| NPI | 1992367429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001597) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD CP001597) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2023-02-21 |