| NPI | 1033665682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60936901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 871746) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP131498) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-01-18 |