| NPI | 1467875013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60810813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 721471) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2019-07-31 |