| NPI | 1932939923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX 1168995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4043237) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-08-04 |