| NPI | 1043648702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60851817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 638334) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2025-12-19 |