| NPI | 1902456635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61025115) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142059) |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2020-06-17 |