| NPI | 1952757858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60962309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1033096) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-10-12 |