| NPI | 1184270035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1010656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60983700) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2021-02-19 |