| NPI | 1689391401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WV 114671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 114671) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-08-02 |