| NPI | 1295499937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016629) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: FL RN9423072) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-11-17 |