| NPI | 1821188921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1778512) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ARNP1778512) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-04-04 |