| NPI | 1861913428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 12.007063) |
| Additional Taxonomies | 163WN0300X Registered Nurse Nephrology (Licence: CT 10.09895) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2024-08-25 |