| NPI | 1881162444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187397) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA R192471) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2023-11-29 |