| NPI | 1619325156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2024016204) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: IN 28228910A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209016048) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-11-20 |