| NPI | 1063065456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020538) |
| Additional Taxonomies | 208800000X Urology (Licence: PA SP020538) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-25 |