| NPI | 1790660348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041367) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: FL APRN11041367) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-10-01 |