NPI | 1679673347 |
---|---|
Former Name | TAMMY ANN HERSCHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95000700) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30007401) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201150050np) | |
Enumeration Date | 2006-09-23 |
Last Update Date | 2022-03-10 |