| NPI | 1639908320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: MN A01124103) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: WA RN60761070) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |