| NPI | 1578390332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311986) |
| Additional Taxonomies | 208800000X Urology (Licence: NY F311986) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-03-26 |