| NPI | 1922564194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 22590) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 22590) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-05-24 |