| NPI | 1063146900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184415) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: VA 0024184415) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-08-01 |