| NPI | 1063231777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN APRN37243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 37243) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-08-25 |