| NPI | 1336399435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 239121) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 239121) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2018-09-25 |