| NPI | 1114634136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11025626) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: FL 9424222) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-05-17 |