| NPI | 1265672182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R232736) |
| Additional Taxonomies | 163WH0500X Registered Nurse Hemodialysis (Licence: NY 648947) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2021-07-23 |