| NPI | 1407334808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1131166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60945533) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2024-04-23 |