| NPI | 1215309232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 20085) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: TN 20085) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2024-04-29 |