| NPI | 1740836287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024177898) |
| Additional Taxonomies | 2080P0210X Pediatrics Pediatric Nephrology (Licence: VA 0024177898) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2021-07-29 |