| NPI | 1831176999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60184955) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 671697) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2014-04-04 |