| NPI | 1740236561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60576934) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI CW151039) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2026-03-21 |