| NPI | 1578480893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 205433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 14394) |
| 163W00000X Registered Nurse (Licence: ND R40471) | |
| 163W00000X Registered Nurse (Licence: MN 2488509) | |
| Enumeration Date | 2026-06-30 |
| Last Update Date | 2026-07-30 |