| NPI | 1851856934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN306845) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA 95010327) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2025-04-09 |