NPI | 1134429475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050199NP) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR 201050199NP) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: OR 201050199NP) | |
Enumeration Date | 2010-11-02 |
Last Update Date | 2012-10-16 |