| NPI | 1083685010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 45090) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 45090) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2024-05-01 |