| NPI | 1053010819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 33682) |
| Additional Taxonomies | 163WN0300X Registered Nurse Nephrology (Licence: MS 868631) |
| 363LF0000X Nurse Practitioner Family (Licence: MS 905902) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TN 33682) | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-11-29 |