| NPI | 1326717919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0024175727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175727) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |