| NPI | 1730814260 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 064437-23)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NH 064437-23)  | 
| Enumeration Date | 2022-07-19 | 
| Last Update Date | 2022-09-07 |