NPI | 1154781136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD R163675) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015823) |
363LF0000X Nurse Practitioner, Family (Licence: MD R163675) | |
Enumeration Date | 2016-03-03 |
Last Update Date | 2024-03-18 |