| NPI | 1225622855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA N361156950) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP145417) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-10-19 |