NPI | 1578344917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND F10230489) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ND F10230489) |
Enumeration Date | 2023-10-11 |
Last Update Date | 2023-12-27 |