| NPI | 1073926309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60914418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131213) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209011522) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-05-29 |