| NPI | 1477825099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61139752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 792827) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP139333) | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2022-02-16 |