| NPI | 1437696010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901719) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN 24207) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2022-08-26 |