| NPI | 1033718465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024183595) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KY 3015251) |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2022-04-28 |