NPI | 1912353657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201602016NP-PP) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OR 201602016NP-PP) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2025-07-03 |