| NPI | 1043718927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10022270) |
| Additional Taxonomies | 208800000X Urology (Licence: CA NP95006949) |
| 363L00000X Nurse Practitioner (Licence: CA NP95006949) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-11-27 |