| NPI | 1104565670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN160188) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: GA RN160188) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-02-16 |