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 |