| NPI | 1376045658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60910472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136711) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10024879) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2024-06-11 |