| NPI | 1265015499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61306947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1033756) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-11-18 |