| NPI | 1346533668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX 711500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 711500) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-11-15 |