| NPI | 1457826281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9327255) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL APRN9327255) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9327255) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2021-08-20 |