| NPI | 1760591630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0300X Registered Nurse Nephrology (Licence: NY 188142-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F300442-1) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |