| NPI | 1013753243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28779) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 28779) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 28779) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-09-24 |