| NPI | 1902660962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: LA 234476) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 234476) |
| 207K00000X Allergy & Immunology (Licence: LA 234476) | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2026-03-26 |