| NPI | 1215921366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3301392) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL 0062584) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2015-06-01 |