| NPI | 1225407562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60598016) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1043247) |
| 363L00000X Nurse Practitioner (Licence: OR 201507979NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60598016) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2021-11-01 |