| NPI | 1477219582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013080) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL 11013080) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2025-08-15 |