| NPI | 1366758500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168940) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0024168940) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2023-08-09 |