| NPI | 1205816311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 3530) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 238002) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CT 003530) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 3530) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2012-09-05 |