| NPI | 1124502331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-100566) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AL 1-100566) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: AL 1-100566) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 1-100566) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2022-04-19 |