| NPI | 1164942710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9354453) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ARNP9354453) |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2024-07-12 |