| NPI | 1548354434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 1625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60659240) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 2785) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-10-11 |