| 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 |