| NPI | 1588460968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 7971048) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: ID 7971048) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |