| NPI | 1710390760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60476506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017731) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 63505) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006880) | |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2024-02-06 |