| NPI | 1215485321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60692867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60682236) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131986) | |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2017-02-13 |