| NPI | 1962686923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 005003849) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 5003849) |
| 363L00000X Nurse Practitioner (Licence: NC 5003849) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2023-07-12 |