| NPI | 1225864788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29601) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 250155) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-11-01 |