| NPI | 1841612199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60877591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60877298) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131020) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2018-11-29 |