| NPI | 1336194844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 950) |
| Additional Taxonomies | 208800000X Urology (Licence: SC APN950) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-05-25 |