NPI | 1316991615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN00455) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NV RN23860) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-10-12 |