| NPI | 1235726886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310079-01) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 310079) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2023-07-03 |