| NPI | 1548630916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61054363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61054213) |
| 163W00000X Registered Nurse (Licence: TX 764600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP137621) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-08-03 |