| NPI | 1720505019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175048) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0024175048) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2019-03-08 |