| NPI | 1679202980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 31487) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 31487) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-09-14 |