NPI | 1841680048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN108439) |
Additional Taxonomies | 208800000X Urology (Licence: GA RN108439) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2024-09-09 |