| NPI | 1316376478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1043743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60428119) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2021-08-24 |