| NPI | 1235491135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60751019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125640) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2017-11-02 |