| NPI | 1407318355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1028197) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: CA 95028349) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: CA 95028349) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-04-07 |