| NPI | 1073102737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61373861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61373861) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1027224) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2023-06-12 |