| NPI | 1033780119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 8433368-4405) |
| Additional Taxonomies | 2088P0231X Urology Pediatric Urology (Licence: UT 8433368-4405) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-12-20 |