NPI | 1558554345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: PA SP007206) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP007206) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2014-05-29 |