| NPI | 1881294890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70030396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144881) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2025-10-27 |