| NPI | 1316481310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08920) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: LA RN071704) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |