| NPI | 1154952356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: GA rn216187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN216187) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN216187) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-08-23 |