| NPI | 1821642026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60983109) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AG06190314) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-11-22 |