| NPI | 1932784345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R227973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R227973) |
| 163WU0100X Registered Nurse, Urology (Licence: MD R227973) | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-07-02 |