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Individual provider · Family Nurse Practitioner · Waukesha, WI

NPI

1114499001

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

8257 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2018-12-18

Last updated

2018-12-18