| NPI | 1427592278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA N360720081) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-03-10 |