| 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 |