| NPI | 1740621366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61370620) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2026-01-09 |