| 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 | 2025-04-30 |