| NPI | 1235581083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA SP016272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP016272) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2025-06-24 |