| NPI | 1649520578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1177225) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WA 201040855RN) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-03-21 |