| NPI | 1558817312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1016365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60691541) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-06-27 |