| NPI | 1710598669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3017510) |
| Additional Taxonomies | 208800000X Urology (Licence: NV 823076) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2022-09-16 |