| NPI | 1861546186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 6624-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R176502-7) |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704205583) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-08-15 |