| NPI | 1144729062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03490) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NM CNP-03490) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2024-04-12 |