| NPI | 1235576372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SC APRN18356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 18356) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5015044) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-07-11 |