| NPI | 1629475926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60921459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60921459) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 789269) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP127159) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2019-06-21 |