| NPI | 1396351664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R238737) |
| Additional Taxonomies | 208800000X Urology (Licence: MD R238737) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-11-29 |