| NPI | 1174697296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00156835) |
| 363L00000X Nurse Practitioner (Licence: WA AP30007439) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-09-13 |