| NPI | 1508880709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3001813) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 178451) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-06-08 |