| NPI | 1861950388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60949886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138807) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2022-12-29 |