| NPI | 1194138586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL 1944362) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 1944362) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-09-22 |