| NPI | 1649737628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP146000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60918326) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60918326) | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2021-05-18 |