| NPI | 1013961713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 13229) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 92996) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-06-23 |