| NPI | 1437439528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150095NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 60240512) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2021-09-15 |