| NPI | 1306563739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 13042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61365682) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2026-02-06 |