| NPI | 1811681505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11026428) |
| Additional Taxonomies | 208800000X Urology (Licence: FL 11026428) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-02-21 |