| NPI | 1093706350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 15291) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 15291) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA 17617 PA-C) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-12-01 |