| NPI | 1194200667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60990851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN60977515) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX Ap137924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95010470) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-09-25 |