| NPI | 1710472121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61044092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60300522) |
| 163W00000X Registered Nurse (Licence: TX 912797) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP137840) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-08-28 |