| NPI | 1750735528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 21003) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 21003) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-02-07 |