| NPI | 1316036684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WU0100X Registered Nurse, Urology (Licence: KY 1085300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3627P) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-08-17 |