| NPI | 1902392285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN227842) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA RN227842) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-12-28 |