| NPI | 1710422399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11003171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60980669) |
| 363L00000X Nurse Practitioner (Licence: WA AP60981182) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP132489) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2022-02-23 |