| NPI | 1043054885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 200071) |
| Additional Taxonomies | 208800000X Urology (Licence: ND 200071) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-08-16 |