| NPI | 1487126173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60986217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 823881) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2021-03-28 |