| NPI | 1770478745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11043950) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: FL RN9524756) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-12-02 |