| NPI | 1457001810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704267599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4704267599) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4704267599) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |