| NPI | 1407408586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9292679) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL APRN9292679) |
| 207R00000X Internal Medicine (Licence: FL APRN9292679) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-10-20 |