| NPI | 1225854458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA xx) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030478) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-03-12 |