| NPI | 1558663112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024097504) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0001097504) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2023-10-31 |