| NPI | 1922706035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005955) |
| Additional Taxonomies | 208800000X Urology (Licence: CA 95023976) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-11-07 |