| NPI | 1629425715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 20829) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: TN APN20829) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2019-03-13 |