| NPI | 1912982059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3003138) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: KY 3003138) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-05-03 |