| NPI | 1699273375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA ap61127411) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP136308) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2023-12-22 |