| NPI | 1508456716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: PA SP032849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01099500) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: PA NPPA069052) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-09-30 |