| NPI | 1790069342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005014) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 5005014) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2021-05-26 |