| NPI | 1194581736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54118) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: NM 54118) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2026-01-26 |