| NPI | 1497905590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 123558) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 123558) |
| 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: MO 123558) | |
| 163WN0300X Registered Nurse, Nephrology (Licence: MO 123558) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 123558) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2024-03-18 |