| NPI | 1033763537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012314) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: NC 259156) |
| 208800000X Urology (Licence: NC 5012314) | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2024-10-07 |