| NPI | 1063903201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95008421) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA NP95008421) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-07-22 |