| NPI | 1346892213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178030) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA F07190388) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0024178030) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024178030) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-07-29 |