| NPI | 1366133134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 432756) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: NY 734591) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-07-31 |