| NPI | 1639972805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021921) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: NC 172941) |
| 163W00000X Registered Nurse (Licence: NC 172941) | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-04-04 |