| NPI | 1750651618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06639) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: LA AP06639) |
| 207Y00000X Otolaryngology (Licence: LA AP06639) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2026-03-05 |