| NPI | 1295872083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1376272) |
| Additional Taxonomies | 208800000X Urology (Licence: FL APRN1376272) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-06-30 |