| NPI | 1760379499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907529) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MS 907529) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-07-17 |