| NPI | 1043728892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209016862) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 209.016862) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2021-04-12 |