| NPI | 1669259834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI 59015) |
| Additional Taxonomies | 163WH0500X Registered Nurse Hemodialysis (Licence: HI 59015) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-04-09 |