| NPI | 1073106258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 5014140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 261459) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-03-11 |