| NPI | 1063817849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126745) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX AP126745) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2024-05-30 |