| NPI | 1447881032 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WU0100X Registered Nurse, Urology (Licence: CA 95133599) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95013849) | 
| Enumeration Date | 2020-02-01 | 
| Last Update Date | 2020-02-01 |