| NPI | 1417473596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60785556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134067) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2021-04-20 |