| NPI | 1942496286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 097666) |
| Additional Taxonomies | 208800000X Urology (Licence: IA A097666) |
| 208800000X Urology (Licence: IL 209006832) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2021-10-01 |