| NPI | 1518589563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3016397) |
| Additional Taxonomies | 163WN0300X Registered Nurse Nephrology (Licence: KY 1149719) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2021-12-13 |