| NPI | 1629441282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA AP08478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08478) |
| 207K00000X Allergy & Immunology (Licence: LA AP08478) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2026-03-05 |