| NPI | 1477837326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60253433) |
| 363L00000X Nurse Practitioner (Licence: OR 201910822NP-PP) | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2026-08-28 |