| NPI | 1386391951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022002113) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2022002113) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-01-02 |