| NPI | 1205390499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 814232) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NV CNP814232) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-08-31 |