| NPI | 1497442651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MD R205166) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MD R205166) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R205166) | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |