| NPI | 1326428566 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN210966) | 
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: GA RN210966) | 
| Enumeration Date | 2015-06-03 | 
| Last Update Date | 2018-05-31 |