| NPI | 1164792024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9185054) |
| Additional Taxonomies | 208800000X Urology (Licence: FL APRN9185054) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2020-06-30 |