NPI | 1639587439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61639634) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126071) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2025-10-06 |