| NPI | 1720098189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 215309-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 215309-4405) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-12-04 |