| NPI | 1801491477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009646) |
| Additional Taxonomies | 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: FL 11009646) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-01-19 |