NPI | 1346533668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX 711500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 711500) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2013-11-15 |