| NPI | 1538680939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11001495) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 3011467) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3011467) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2021-07-12 |