| NPI | 1114652377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R192471) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD R192471) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-11-28 |