| NPI | 1306347638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61307555) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 747265) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136912) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-07-21 |