| NPI | 1710909551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 334664) |
| Additional Taxonomies | 208800000X Urology (Licence: NY F334664-1) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-07-10 |