| 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 |