| NPI | 1508524802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-128331) |
| Additional Taxonomies | 208800000X Urology (Licence: AL 1-128331) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2024-06-26 |