| NPI | 1588767370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10689) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: PA SP008232) |
| 163WU0100X Registered Nurse, Urology (Licence: AZ RN210630) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-06-02 |