| NPI | 1871954958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60756656) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP130236) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-02-28 |